| NPI | 1841864824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI APRN-3298) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1036688) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-12-09 |